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Ive noticed decrease in cravings and suppresses my hunger throughout the day

Yes, overuse or aggressive treatments can damage the skin barrier

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The reason 'dose titration,' which involves starting with a small amount and gradually increasing it, is recommended is to minimize side effects

Behavior and Eating Disorders Screen for binge eating, restrictive eating, purging, body-image distress, and prior eating disorders before and during appetite-suppressing treatment